NPI | 1346015948 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE ROSER VP Of Operations 775-222-0045 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2023-11-24 |
Last Update Date | 2023-11-24 |